Epileptic peri-ictal psychosis, a reversible cause of psychosis

Mingot, C. González; Villar, Miguęl; Medel, D. Calvo; Sevilla, T. Corbalán; Martínez, L. Martínez; Martínez, Covadonga; Lasaosa, Sonia Santos; Llerda, J.Á. Mauri

doi:10.1016/j.nrleng.2012.03.010

Cited by 8 publications

(9 citation statements)

References 17 publications

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“…Patients with frequent seizures may experience psychiatric symptoms during the period around the ictus ( 10 ). However, cognitive decline associated with frequent seizures always indicated a potentially reversible condition ( 10 , 11 ). Memory is probably affected by focal seizures arising from temporal lobe, which is treatable ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

Case Report: Not All Neurological Symptoms Respond Well to Penicillin in Patients With Neurosyphilis

Wang

Zhang

et al. 2022

Front. Neurol.

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Patients with neurosyphilis present with a wide range of neurological symptoms, the response of which to penicillin is not well known. In this paper, we analyzed the clinical video-electroencephalogram (EEG) features of neurosyphilis in a 54-year-old man who exhibited with rhythmic orofacial involuntary movements, Argyll Robertson pupil, frequent paroxysmal oral-automatism seizures, periodic lateralized discharges (PLEDs) with triphasic waves, behavioral changes, and memory decline. After treatment with penicillin, PLED and seizures disappeared and behavioral changes and memory decline were significantly improved, but rhythmic orofacial involuntary movements and Argyll Robertson pupil persisted, which indicates an irreversible characteristic of late stage neurosyphilis syndromes.

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Section: Discussionmentioning

confidence: 99%

Case Report: Not All Neurological Symptoms Respond Well to Penicillin in Patients With Neurosyphilis

Wang

Zhang

et al. 2022

Front. Neurol.

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Section: Discussionmentioning

confidence: 99%

“…Various epidemiological studies demonstrate a high predisposition to the development of psychosis in patients diagnosed with epilepsy [ 5 , 7 ]. The risk of developing psychosis would be mainly related to the type of epileptic syndrome, the response to treatment, and the psychosocial conditions [ 5 ]. A prospective Finnish trial studied the comorbidity of psychiatric and organic disorders based on the monitoring of a sample of 11017 patients over 28 years, concluding, among other results, a strong link between epilepsy and schizophrenia [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…Both postictal psychosis and interictal psychosis can appear independently in the same type of patient, known as bimodal psychosis. It has been discussed if these types of psychosis are the same entity with different clinical forms [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Psychosis of epilepsy refers to forms of psychosis secondary to epilepsy and are classified according to their temporality in relation to epileptic seizures [ 4 ]. According to the literature, there is a predisposition to presenting psychotic symptoms that varies between 19% and 80% over life in epileptic patients [ 5 ], with an incidence of 6-12 times greater than in the general population [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Psychosis in Epilepsy vs Late-Onset Schizophrenia: A Case Report

Tascon-Cervera¹,

Crisostomo-Siverio²,

Cardenes-Moreno³

et al. 2022

Cureus

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Psychotic disorders can have a primary or secondary origin. Primary psychosis includes pathologies such as paranoid schizophrenia, acute psychotic episodes, schizoaffective disorder, and other chronic psychiatric disorders. However, in secondary psychosis, there is an organic cause that explains the appearance of psychotic symptoms, such as those secondary to the consumption of psychoactive substances or some neurological or systemic diseases. Psychosis in epilepsy falls under secondary psychosis. It may present as hallucinations and delirium reminiscent of some primary psychoses such as schizophrenia. We present the case of a 57-year-old female suffering from temporal lobe epilepsy who developed psychotic symptoms and whose definitive diagnosis was a challenge given the similarities between some alternative diagnoses, mainly between interictal psychosis of epilepsy and late-onset schizophrenia. We also review the relevant literature. We consider that more studies are required to clarify the relationship between epilepsy and psychosis.

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Forensic neuropsychiatric aspects of epilepsy

Beran,

Fozdar

2023

Behavioral Sci & The Law

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Epilepsy may be associated with automatisms that are classed as ‘insane ‘as they are deemed to have originated within the mind. ‘Sane automatism’ is said to occur from external factors, such as physical trauma, while ‘insane automatism’ is said to be innate to the individual experiencing them. To claim automatism within the context of a criminal matter requires a detailed evaluation of the behavior demonstrated and a questioning of the volitional and purposeful nature of this behavior. It is insufficient to rely upon past behavior in association with these seizures to justify the defense of automatism within a specific event. Epilepsy is often considered to be associated with an increase in violence. Proper epidemiological research, both in long‐term, large population control studies and hospital‐based studies, has suggested that epilepsy, per se, is not associated with an increase in violence when compared to the population at large and controlled for other familial and environmental factors.

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Epileptic peri-ictal psychosis, a reversible cause of psychosis

Cited by 8 publications

References 17 publications

Case Report: Not All Neurological Symptoms Respond Well to Penicillin in Patients With Neurosyphilis

Case Report: Not All Neurological Symptoms Respond Well to Penicillin in Patients With Neurosyphilis

Psychosis in Epilepsy vs Late-Onset Schizophrenia: A Case Report

Forensic neuropsychiatric aspects of epilepsy

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